Attribution Error Medicine
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Hartzband, MD | Physician | October 9, 2011 As physicians, we all dread missing a diagnosis: indigestion that turns out to be angina, back pain that signals an aortic aneurysm, migraine attribution error example that proves to be a brain tumor. Although it is only an estimate, attribution error definition several studies in the medical literature indicate that misdiagnosis occurs in 15% to 20% of all cases, and in
Attribution Error Sociology
half of these, there is serious harm to the patient. Researchers have found that the vast majority of misdiagnoses, about 80%, are due to cognitive errors. Can thinking about your thinking
Attribution Error Communication
help prevent these errors? In our work as physicians, we are prone to make three major cognitive errors. Three ‘A’ errors “Anchoring” occurs when we fix on a particular bit of information or data given to us, and then think in a constrained, linear way. This causes us to potentially fail to obtain other information about a problem and to proceed down only ultimate attribution error one path of investigation. A physician can anchor on a specific aspect of the history, a physical finding or a laboratory result. For example, we wrote about a case of anchoring in our November 2008 column, “Anchoring errors ensue when diagnoses get lost in translation,” where a patient's complaint of gas caused clinicians to initially miss an abdominal aneurysm. Another patient who said he had a lack of “stamina” underwent an extensive and fruitless evaluation involving multiple blood tests and scans until a physician asked what exactly “stamina” meant. “Availability” is another common thinking trap. Here, we are strongly influenced by dramatic or unusual cases that are prominent in our memory and easily recalled, and thus “available” when we consider a new patient's problem. As physicians, we are all swayed by the dramatic cases we have seen, and may too quickly conclude that the symptoms or findings before us correspond to those that were present in the prior case. We saw the power of availability in a case of Crohn's disease with initial symptoms of weight loss and fatigue. Each specialist who saw the patient immediately considered diagnose
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Fundamental Attribution Error In Movies
all the features of Khan Academy, please enable the fundamental attribution error involves JavaScript in your browser. Individuals and societyPerception, prejudice, and biasPractice: Perception, prejudice, group attribution error and bias questionsAttribution Theory - Basic covariationAttribution theory - Attribution error and cultureStereotypes stereotype threat and self fulfilling propheciesEmotion http://www.kevinmd.com/blog/2011/10/major-cognitive-errors-physicians.html and cognition in prejudicePrejudice and discrimination based on race, ethnicity, power, social class, and prestigeStigma - Social and selfSocial perception - Primacy recencySocial perception - The Halo EffectSocial perception - The Just World HypothesisEthnocentrism and cultural relativism in group and https://www.khanacademy.org/test-prep/mcat/individuals-and-society/perception-prejudice-and-bias/v/attribution-theory-attribution-error-and-culture out groupNext tutorialAttributing behavior to persons or situationsCurrent time:0:00Total duration:5:280 energy pointsMCAT|Individuals and society|Perception, prejudice, and biasAttribution theory - Attribution error and cultureAbout Created by Arshya Vahabzadeh.ShareTweetEmailPerception, prejudice, and biasPractice: Perception, prejudice, and bias questionsAttribution Theory - Basic covariationAttribution theory - Attribution error and cultureStereotypes stereotype threat and self fulfilling propheciesEmotion and cognition in prejudicePrejudice and discrimination based on race, ethnicity, power, social class, and prestigeStigma - Social and selfSocial perception - Primacy recencySocial perception - The Halo EffectSocial perception - The Just World HypothesisEthnocentrism and cultural relativism in group and out groupNext tutorialAttributing behavior to persons or situationsAttribution Theory - Basic covariationStereotypes stereotype threat and self fulfilling propheciesUp NextStereotypes stereotype threat and self fulfilling prophecies
in Emergency Medicine John Bielinski SubscribeSubscribedUnsubscribe12,66412K Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this https://www.youtube.com/watch?v=i643vG7lAxc video to a playlist. Sign in Share More Report Need to report the video? Sign in to report inappropriate content. Sign in Statistics 320 views 8 http://www.acphospitalist.org/archives/2010/09/mindful.htm Like this video? Sign in to make your opinion count. Sign in 9 0 Don't like this video? Sign in to make your opinion count. Sign attribution error in 1 Loading... Loading... Loading... Rating is available when the video has been rented. This feature is not available right now. Please try again later. Published on May 10, 2013For more info on education, DVD and conferences visit: http://cme4life.com Category Education License Standard YouTube License Show more Show less Loading... Autoplay fundamental attribution error When autoplay is enabled, a suggested video will automatically play next. Up next Dr. Reuben Strayer - Emergency Thinking - Duration: 55:41. EmergencyLondon 22,171 views 55:41 Community Health Panel: Economic & Social Disparities in Health Care & Services - Duration: 1:25:23. Dartmouth 290 views 1:25:23 Understanding and Preventing Cognitive Errors in Healthcare - Duration: 12:17. Marjorie Stiegler MD 1,118 views 12:17 Cognitive biases in medicine - Duration: 4:29. Clinical Information Sciences 26 views 4:29 Shit Emergency Medicine Attendings Say - Duration: 11:50. somecooldudeonutube 209,681 views 11:50 Social Thinking: Crash Course Psychology #37 - Duration: 10:48. CrashCourse 828,091 views 10:48 Intelligence and Ego in Medicine - Duration: 1:33. John Bielinski 360 views 1:33 Medical mistakes rampant in US hospitals - Duration: 10:36. RT America 4,371 views 10:36 Understanding and Preventing Cognitive Errors in Healthcare - Duration: 12:17. Marjorie Stiegler 837 views 12:17 Novice Nurse makes a Medication Error - Duration: 21:43. AwestruckProductions 34,237 vie
Current Issue ACP Hospitalist Weekly Supplements Blog Archives Career Connection Subscribe Renew Your Subscription RSS Feeds Write for ACP Hospitalist A case of attribution error From the September ACP Hospitalist, copyright 2010 by the American College of Physicians By Jerome Groopman, FACP, and Pamela Hartzband, FACP Zahia Esber, ACP Associate Member, who practices at McKenzie-Willamette Med-ical Center in Eugene, Ore., told us about a case of a 71-year-old obese woman whose mental status deteriorated rapidly while in the hospital. The patient had undergone a sigmoid resection in December 2009 for colon cancer. At that time, her mental status was intact. Three weeks after surgery, she returned to the hospital because of nausea and anorexia. She told the admitting physician that her symptoms began about two weeks after surgery. A gastroenterologist consulted on the case. Detailed evaluation did not yield a clear diagnosis. He thought that the patient might be depressed from her diagnosis of colon cancer. She was discharged on an anti-emetic and an antidepressant medication. Symptoms persist The patient was readmitted several weeks later for persistent symptoms of nausea and anorexia. While in the hospital she was noted to have an abrupt decline in mental status. She developed dysarthria and after several days barely spoke at all. A neurological consult was obtained. In addition to the impaired mental status, the neurologist noted a symmetrical peripheral neuropathy and tenderness to palpation of the lower extremities. There were no focal motor deficits. She wondered whether a nutritional deficiency had been prematurely discounted in evaluating a woman who was so overweight. Initially the presumptive diagnosis was stroke or brain metastases. However, imaging, including CT scan and MRI/A, were unrevealing. EEG showed no seizure activity. Lumbar puncture was performed, and no abnormalities were noted in the cerebral spinal fluid. Because of the history of colon cancer, a screen for antibodies related to paraneoplastic syndrome was obtained with negative results. Checking the history “I tried to make sure that nothing had been missed,” she told us. The record was unclear about the patient's condition at home, so Dr. Esber contacted and interviewed several family members. “Too often, we are so busy that we have no time, and we rely only on the history from the chart.” She learned from the patient's son that the